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Difficult differentiation of a somatic symptom disorder from anterior cutaneous nerve entrapment syndrome (ACNES): a case report.
BMC Psychiatry ( IF 4.4 ) Pub Date : 2019-12-12 , DOI: 10.1186/s12888-019-2390-2
Narifumi Yokoyama 1 , Ryousuke Shiraki 1 , Takashi Watanabe 1 , Makiko Shiinoki 2 , Michihiro Nin 2 , Taro Shimizu 2 , Norio Yasui-Furukori 1 , Kazutaka Shimoda 1
Affiliation  

BACKGROUND Somatization is regarded as psychological or emotional distress in the form of physical symptoms that are otherwise medically unexplained. CASE PRESENTATION We report a case of a patient with a somatic symptom disorder (SSD) and depression who was later diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES) when Carnett's test was positive and block anesthesia using trigger point injections dramatically improved the symptom of abdominal pain. CONCLUSION We concluded that the differentiation of SSDs, such as psychogenic pain, from ACNES is very difficult. Psychiatrists should be aware of this syndrome.

中文翻译:

躯体症状障碍与前皮神经卡压综合征(ACNES)的难以区分:一例报告。

背景技术躯体化被认为是身体症状的形式的心理或情感困扰,否则是医学上无法解释的。病例介绍我们报告了一例患有躯体症状障碍(SSD)和抑郁症的患者,该患者后来在Carnett检验呈阳性并通过触发点注射阻断麻醉的情况下被确诊为前皮神经卡压综合症(ACNES),从而显着改善了腹部症状痛。结论我们得出结论,很难将SSD(例如精神性疼痛)与ACNES相区分。精神科医生应注意这种综合征。
更新日期:2019-12-12
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